American Indian and Alaska Native Substance Abuse: Co-Morbidity and Cultural Issues

Laura J. Gray

34 citations0/0 files storedAmerican Indian and Alaska Native Mental Health Research

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Indigenous Health, Education, and Rights Substance Abuse Treatment and Outcomes Indigenous Cultures and History

Abstract

The devastating impact of substance abuse on American Indians and Alaska Natives (AI/ANs) is reviewed with an emphasis on psychological and physical effects. Co-morbidity of substance abuse, trans-generational trauma, Post Traumatic Stress Disorder, and depression among AI/ANs is also discussed since each condition may cause, impact, and/or exacerbate the others. The Medicine Wheel, one respected and accepted treatment approach developed by AI/AN communities, is described in detail since it helps address all of the co-morbid issues discussed.

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References

1992Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups.1993Child abuse trauma: theory and treatment of the lasting effects 1997Childhood sexual abuse and women's substance abuse: national survey findings.1996Red earth, white lies: Native Americans and the myth of scientific fact 1988Trauma and Victimization 1993Violence, trauma, and post-traumatic stress disorder among women drug users 1997Prevalence and Characteristics of Trauma and Posttraumatic Stress Disorder in a Southwestern American Indian Community 1996Drug use, violence, and victimization among White American, Mexican American, and American Indian dropouts, students with academic problems, and students in good academic standing.

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2008Relationship Between Sense of Belonging as Connectedness and Suicide in American Indians 2011Staying Connected: A Feasibility Study Linking American Indian and Alaska Native Trauma Survivors to their Tribal Communities 2012Characteristics of Northern Plains American Indians Seeking Substance Abuse Treatment in an Urban, Non-Tribal Clinic: A Descriptive Study 2018Integrating Indigenous approaches and relationship-based ethics for culturally safe interventions: Child protection in Solomon Islands

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